<div class=new-account-form>
	<form class=form-std method=post action=<?php echo Epic::getUrl('account/user/save')?> enctype=application/x-www-form-urlencoded>
		<fieldset>             
			<h2>New Account Form</h2>            
			<div>                
				<label for=username>Username<em>*</em></label>         
				<input type=text name=username id=username title=username value="<?php echo $this->getFormData('username'); ?>" />             
			</div>
			<div>                
				<label for=email>Email<em>*</em></label>         
				<input type=text name=email id=email title=email value="<?php echo $this->getFormData('email'); ?>" />             
			</div>
			<div>                
				<label for=password>Password<em>*</em></label>         
				<input type=password name=password id=password title=password value="<?php echo $this->getFormData('password'); ?>" />             
			</div>
			<div>                
				<label for=firstName>First Name<em>*</em></label>         
				<input type=text name=firstName id=firstName title=firstName value="<?php echo $this->getFormData('firstName'); ?>" />             
			</div>
			<div>					
				<button type=submit class=button title=submit><img src="<?php echo Epic::getImgUrl('icon/cms.gif'); ?>" alt=Create />Create</button>
			</div>				
		</fieldset>       
	</form>
</div>